Organization
CHARLOTTE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WEINS (ADMINISTRATOR)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, SUITE B, CHARLOTTE, NC 28204-2839
(704) 355-5375
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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